Identifying barriers and facilitators of harm reduction among adult dual users of e-cigarettes and cigarettes

确定电子烟和香烟成人双重使用者减少伤害的障碍和促进因素

基本信息

批准号：
10590814
负责人：
Olatokunbo Osibogun
金额：
$ 17.04万
依托单位：
FLORIDA INTERNATIONAL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-06-15 至 2028-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10590814
关键词：
21 year old Address Adult Age Applications Grants Behavior Therapy Cigarette Cigarette Smoker Competence Data Development Development Plans Ecological momentary assessment Effectiveness Electronic cigarette Face Focus Groups Goals Harm Reduction Individual Intention Intervention K-Series Research Career Programs Knowledge Learning Life Mentors Methodology Methods Nicotine Nicotine Dependence Outcome Participant Pattern Phase Pilot Projects Population Population Assessment of Tobacco and Health Positioning Attribute Public Health Qualitative Methods Randomized, Controlled Trials Reporting Research Research Design Research Personnel Risk Smoker Smoking Smoking Cessation Intervention Statistical Methods Study Subject Symptoms Techniques Tobacco Tobacco use Training Translating United States Woman career development cigarette smoking cigarette user clinical practice cohort contextual factors design effective intervention electronic cigarette use electronic cigarette user epidemiology study experience improved insight interest longitudinal analysis nicotine replacement prevent recruit skills smoking cessation social cognitive theory therapy design therapy development tobacco products tool

项目摘要

PROJECT SUMMARY/ABSTRACT Dual use of e-cigarettes and cigarettes (i.e., dual use) is a common tobacco use pattern among adults in the United States. The most common use for e-cigarettes among dual users is for harm reduction (i.e., the complete transition to e-cigarettes or total cessation). Dual use may reduce the burden of tobacco use if it is a temporary stage, i.e., cigarette smokers using e-cigarettes to quit, transition to e-cigarette use only, or total cessation (i.e., harm reduction). However, this does not always translate in real life. A significant number of dual users still maintain dual use, and evidence is mixed as to the effectiveness of e-cigarettes as a cessation tool. Furthermore, dual users face barriers to and facilitators of harm reduction that are not clearly understood. As such, we must understand these barriers/facilitators to develop effective interventions to help dual users quit or reduce their harm. This study aims to identify these contextual and individual barriers that prevent dual users from quitting cigarettes and the daily triggers associated with cigarette smoking and identify some facilitators that may promote harm reduction. I will recruit two separate groups of adult users of e-cigarettes and cigarettes (n= 50 each; 50% women; age ≥21years) to 1) use ecological momentary assessment (EMA) in a longitudinal within-subject study design to identify daily triggers and settings of cigarettes smoking for 14 days and 2) conduct focus group discussions to explore the contextual barriers/facilitators of harm reduction. Combined, the proposed studies will give real-world evidence on the barriers that prevent adult dual users who use e-cigarettes with the intent to quit but do not quit or reduce their harm. Though I have expertise in tobacco research, I lack formal training in qualitative and EMA methodology. The mentoring team has outstanding experience in epidemiological research of tobacco product use, qualitative methods, and EMA methodology and is committed to supporting Dr. Osibogun in her training and professional development. Through this K01, Dr. Osibogun will develop the skills to achieve her long-term goal of becoming an independent researcher with expertise in tobacco research, which will position her to develop and submit a R01 intervention grant proposal that can leverage EMA and other techniques learned through the K01 training experience to improve cessation outcomes among dual users.

项目摘要/摘要电子烟和香烟的双重使用（即双重用途）是成年人中常见的烟草使用模式美国。双重用户中电子烟的最常见用途是减少伤害（即完全过渡到电子烟或完全停止）。如果是双重使用，则可以减少烟草使用的燃烧临时阶段，即使用电子烟戒烟，过渡到电子烟的烟烟或总数停止（即减少伤害）。但是，这并不总是在现实生活中翻译。大量双重用户仍然保持双重用途，并且有证据表明电子烟作为停止的有效性工具。此外，双重用户面临着尚未清楚理解伤害的障碍和减少伤害的促进者。因此，我们必须了解这些障碍/促进者，以制定有效的干预措施以帮助双重用户退出或减少他们的伤害。这项研究旨在确定这些防止双重障碍的上下文和个人障碍用户从安静的香烟和与吸烟相关的每日触发器并识别一些可能促进危害减少的促进者。我将招募两个单独的电子烟的成人用户和香烟（n = 50； 50％的女性；年龄≥21岁）至1）使用生态时刻评估（EMA）纵向内部研究设计，以识别每日吸烟的每日触发因素和设置14 第2天2）进行焦点小组讨论，以探索减少伤害的上下文障碍/促进者。拟议的研究结合在一起，将提供有关阻止成年双重用户的障碍的现实证据使用电子烟来戒烟，但不要退出或减少伤害。虽然我在烟草方面有专业知识研究，我缺乏定性和EMA方法论的正式培训。心理团队表现出色关于烟草产品使用，定性方法和EMA方法的流行病学研究经验并致力于支持Osibogun博士的培训和专业发展。通过这个K01， Osibogun博士将发展技能，以实现她成为独立研究人员的长期目标烟草研究的专业知识，该专业知识将定位她开发和提交R01干预赠款提案可以利用EMA和其他通过K01培训经验学到的技术来改善停止双重用户的结果。